19-105173 Mechanical
City of Federal Way Permit #:19-105173-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: MOORE
Project Address: 30615 1ST PL S Parcel Number:339210 0030
Project Description: Replace furnace and hot water tank.
Owner Applicant Contractor
ASHLEY MOORE A A M CONSTRUCTION A A M CONSTRUCTION
30615 1ST PL S 37939 20TH PL S AAMCOCL885QW(11/16/20)
FEDERAL WAY WA 98003-4039 FEDERAL WAY WA 98003
37939 20TH PL S
FEDERAL WAY WA 98003
Additional Permit Information
Mechanical Work Valuation? 5458 Is this an Online or O.T.C.application? Yes
.00r .. fauxya ,�s.,:. _ ,.? ifl ._. ., '.-Y
Furnaces 1 Hot Water Tanks 1
PERMIT EXPIRES Wednesday, 13 May,2020
Permit Issued on Friday,November 15,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. I G
Owner or agent: ( A� Date: l - 1
THIS CARD IS TO REMAIN ON-SITE . .
coy Federal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 105173 00 Address: 30615 1ST PL S
Project: ASHLEY MOORE FEDERAL WAY WA 98003-4039
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible
(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if
you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card.
•
® Mechanical Rough-in(4165) 2❑ Gas Piping(4125) Q Final-Mechanical(4065)
Approved Approved to release test Approved
.By Date , By Date •By/(,(f Date ���f
0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
A. RECEIVED
CITY OF NOV^..� 15 2019
PERMIT APPLICATION
Federal Way CITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 +permitcenterracityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER / tJ / 0 5 / 3 - Ai E.- TARGET DATE
SITE ADDRESS SUITE/UNIT#
30 I S I S� �( S 11 �e 1 c.,. (i { Go A . q ?oc-3
PR• ECT VALUATION, INCr ASSESSOR'S TAR/PARCEL#
$ 1�6-�.' 3 3 ( O _ 0 0 3 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING LIJ MECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT 11/,\ O 0 re,
PROJECT DESCRIPTION ( 4(4.G( (\ 0µ . a.�lr t Co,-"Ori
Detailed description of work to 0 A 4 F )r n cc
be included on this permit only
NAME PRIMARY PHONE
s\i'\ 1 e.,,,\ A0/1 O r 2_s a.7C _ -2..i 01
PROPERTY OWNER MAILING ADDRESS 1 E-MAIL
061 I . 1. Pi, 5
C,IT,Y STATE ZIP
f-e cdc-3 c,) L,-5 A qgoc. 3
PHONE
7vt c_c),e,5im,c,t.,-,7\ 2-S-3 - S7 C -q Lk %-.S-
MAILING ADDRESS p E-MAIL
CONTRACTOR 3 2-`p." r
CITYSTAT ZIP FAX
= 9(-a.;( ,..,v t., a-& `..-
WA BTTE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NCnCL 4$ L.) (v / 2V / zo
NAME PRIMARY PHONE
k)A./EL` T s\. '- - ZS-3 -3ZC- i-Llc S
APPLICANT MAILING ADDRESS E-MAIL
+-q 3'1 .— Q 1 S
p Q�r 424-CIA L-5 C•/•- t.....,
3 TFAX
O ZIP -3�G
NAME - PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the
'itrcity as a part of this application.
SIGNATURE: (Y DATE (v -- 2 V — lel
PRINT NAME: P U I ( 1 l 51 tAz.:'k.
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application